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Individual

ELIZABETH MAY LEONARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3841 LEEDS AVE, N CHARLESTON, SC 29405-7469
(843) 529-2698
Mailing address
3841 LEEDS AVE, N CHARLESTON, SC 29405-7469
(843) 529-2698

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
13658
SC
2084P0800X
Psychiatry Physician
G084479
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13658
STATE LICENSE
SC
05
327877
SC
Enumeration date
02/08/2007
Last updated
05/28/2019
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